Functional Upper Airway Space Endoscopy: A Prognostic Indicator in Obstructive Sleep Apnea Treatment with Mandibular Advancement Devices
Open Access
- 1 March 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (5), 2393
- https://doi.org/10.3390/ijerph18052393
Abstract
Purpose: The use of a mandibular advancement device (MAD) in the treatment of obstructive sleep apnea (OSA) is a consolidated therapy. This study aimed to evaluate the predictive value of awake upper airways (UA) functional endoscopy in identifying the outcome of MAD therapy. Methods: This observational prospective study included 30 adult OSA patients, all patients underwent pre-treatment awake UA functional endoscopy, during the exam subjects were instructed to advance their mandible maximally, and they were divided into three different groups according to the response of the soft tissue, group A (expansion), group B (stretch), group C (unchanged). The results of this test were used in combination with other noninvasive indexes to predict the treatment outcome in terms of apnea-hypopnea index (AHI) reduction. Results: We found that a substantial AHI reduction occurred in group A and group B while e slight AHI reduction was measured in group C. Conclusion: Based on our experience the awake UA endoscopy is a valid prognostic exam for discriminating responder and non-responder patients; in addition our results indicate the possibility of predicting a range of post-treatment AHI index values.Keywords
This publication has 25 references indexed in Scilit:
- Use of the transoral robotic surgery to treat patients with recurrent lingual tonsillitisInternational Journal of Medical Robotics and Computer Assisted Surgery, 2020
- Lateral pharyngoplasty techniques for obstructive sleep apnea syndrome: a comparative experimental stress test of two different techniquesEuropean Archives Of Oto-Rhino-Laryngology, 2020
- Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome TreatmentInternational Journal of Environmental Research and Public Health, 2020
- Description of the relationship between NOHL classification in drug-induced sleep endoscopy and initial AHI in patients with moderate to severe OSAS, and evaluation of the results obtained with oral appliance therapyActa Otorhinolaryngologica Italica, 2020
- Drug-Induced Sleep Endoscopy: Clinical Application and Surgical OutcomesHealthcare, 2019
- Barbed snore surgery for concentric collapse at the velum: The Alianza techniqueJournal of Cranio-Maxillofacial Surgery, 2017
- Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice GuidelineJournal Of Clinical Sleep Medicine, 2017
- Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in childrenEmergencias, 2016
- Diagnostic Accuracy of Obstructive Airway Adult Test for Diagnosis of Obstructive Sleep ApneaBioMed Research International, 2015
- Barbed Roman blinds technique for the treatment of obstructive sleep apnea: how we do it?European Archives of Oto-Rhino-Laryngology, 2015